DNR enforcement depends on?

DNR enforcement depends on?

• A. The patient’s diagnosis only
• B. The patient’s preferences and facility policies
• C. The physician’s opinion alone
• D. The payer’s coverage

Answer: (B)

Enforcement hinges on honoring the patient’s preferences and the facility’s policies. A Do Not Resuscitate order is a medical directive that expresses whether CPR and other life-sustaining measures should be attempted. Proper enforcement requires that the patient’s expressed wishes (or a legally authorized surrogate when the patient lacks capacity) guide decisions, and that the hospital has clear policies for documenting, communicating, and applying the order consistently across all caregivers and settings. While clinicians play a crucial role in discussing options and ensuring the order is appropriate, their personal opinion alone does not determine action; the decision reflects patient autonomy. The patient’s diagnosis or prognosis does not by itself establish a DNR. Similarly, payer coverage or reimbursement should not decide whether CPR is used; care should reflect the patient’s wishes and the legally valid DNR order, regardless of payment issues.

Enforcement hinges on honoring the patient’s preferences and the facility’s policies. A Do Not Resuscitate order is a medical directive that expresses whether CPR and other life-sustaining measures should be attempted. Proper enforcement requires that the patient’s expressed wishes (or a legally authorized surrogate when the patient lacks capacity) guide decisions, and that the hospital has clear policies for documenting, communicating, and applying the order consistently across all caregivers and settings. While clinicians play a crucial role in discussing options and ensuring the order is appropriate, their personal opinion alone does not determine action; the decision reflects patient autonomy. The patient’s diagnosis or prognosis does not by itself establish a DNR. Similarly, payer coverage or reimbursement should not decide whether CPR is used; care should reflect the patient’s wishes and the legally valid DNR order, regardless of payment issues.